US EPA

6392525 

Journal Article 

Review 

Intertrochanteric Femur Fracture Treatment in Asia What We Know and What the World Can Learn 

Chang, S; Hou, Z; Hu, S; Du, SC 

2020 

1 

Orthopedic Clinics of North America
ISSN: 0030-5898 

51 

2 

189-+ 

English 

32138857 

10.1016/j.ocl.2019.11.011 

WOS:000520952000008 

Hip fractures are of great interest worldwide as the geriatric population continues to increase rapidly. Currently, surgeons prefer to use cephalomedullary nail for internal fixation of pertrochanteric/intertrochanteric fractures. This article summarizes 10 concepts in hip fracture treatment over the past 20 years, including fracture line mapping, proximal lateral wall and anterior cortex, posteromedial lesser trochanter-calcar fragment, anteromedial cortex support reduction, changes of fracture reduction after sliding and secondary stability, nail entry point and wedge-open deformity, tip-apex distance and calcar-referenced tip-apex distance, femoral anterior bowing and nail modification, long nails for wide medullary canal and large posterior coronal fragment, and postoperative stability score. 

Hip fracture; Intertrochanteric fracture; Cephalomedullary nail; Fracture reduction; Secondary stability